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dc.contributor.advisorMatta, Javier
dc.contributor.authorOjeda, Daniel Fernando
dc.contributor.otherArrieta, Victor
dc.contributor.otherFlorez, David
dc.coverage.spatialHospital Militar Centralspa
dc.coverage.temporalabril de 2019 a diciembre de 2019spa
dc.date.accessioned2021-01-20T15:37:51Z
dc.date.available2021-01-20T15:37:51Z
dc.date.issued2020-12-09
dc.identifier.urihttp://hdl.handle.net/10654/37389
dc.description.abstractIntroduccion: La resonancia es un método de diagnóstico útil, pero probablemente sobreutilizado y genera altos gastos al sistema de salud. Objetivo: determinar si existe Sobreindicacion en la realización de resonancias de columna en los pacientes que consultan al servicio de ortopedia de columna por consulta externa del hospital militar central. Métodos: se realizará un estudio descriptivo de corte transversal con revision de historias clinicas digitales de los pacientes atendidos en el servicio de ortopedia de columna entre abril de 2019 y diciembre de 2019. Los datos se extraen directamente de la historia Clínica del paciente y de entrevista al paciente diligenciando un formato predeterminado en Google, no habrá ningún tipo de intervención. plan de análisis: se tomará el número total de pacientes atendidos, y el número total de pacientes a quienes se les realizo resonancia y de estos, se analizarán cuantos cumplían con las indicaciones para la toma de la prueba diagnostica concluyendo si presenta o no sobreindicacion, se determinara el porcentaje con respecto al total de resonancias solicitadas. Resultados: se recolectaron 203 pacientes, de los caules en 164 (66%) se identifico que no tenian criterios para la solicitud de resonancia. Conclusiones: el porcentaje de sobreindicacion de resonancia en la muestra analisada es superior al 60% generando esto un dato muy importante dado que nos hace ver la cantidad de estudios innecesarios que se estan realizando y por ende el alto costo para el sistema de salud. Palabras clave: sobreindicacion, resonancia de columna, banderas rojasspa
dc.format.mimetypeapplicaction/pdfspa
dc.language.isospaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.titleSobreindicación de resonancia de columna en los pacientes ingresados por consulta externa al servicio de cirugía de columna del hospital militar centralspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.accessrightshttp://purl.org/coar/access_right/c_abf2*
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa
dc.description.abstractenglishIntroduction: MRI is a useful diagnostic method, but probably overused and generates high costs for the health system. Objective: to determine if there is an Overindication in performing spinal resonances in patients who consult the spinal orthopedic service for outpatient consultation at the central military hospital. Methods: a descriptive cross-sectional study will be carried out with a review of the digital medical records of the patients treated in the spinal orthopedic service between April 2019 and December 2019. The data is extracted directly from the patient's medical record and from the interview to the patient filling in a predetermined format in Google, there will be no type of intervention. Analysis plan: the total number of patients seen will be taken, and the total number of patients who underwent MRI and of these, how many complied with the indications for taking the diagnostic test will be analyzed, concluding whether or not there is an overindication. the percentage with respect to the total of resonances requested will be determined. Results: 203 patients were collected, of the caules in 164 (66%) it was identified that they did not have criteria for requesting MRI. Conclusions: the percentage of overindication of resonance in the analyzed sample is higher than 60%, generating this a very important data since it makes us see the amount of unnecessary studies that are being carried out and therefore the high cost for the health system. Keywords: overindication, spinal resonance, red flagsspa
dc.title.translatedSpinal resonance overindication in patients admitted for outpatient consultation to the spine surgery service of the central military hospitalspa
dc.subject.keywordsOver-indicationspa
dc.subject.keywordsSpinal Resonancespa
dc.subject.keywordsRed flagsspa
dc.subject.keywordsColumn resonancespa
dc.publisher.programCirugía de Columna Vertebral, Pelvis y Acetábulospa
dc.creator.degreenameEspecialista en Cirugía de Columna Vertebral, Pelvis y Acetábulospa
dc.subject.decsColumna vertebral - Cirugíaspa
dc.subject.decsOrtopediaspa
dc.subject.decsResonancia magnéticaspa
dc.subject.decsDolor lumbarspa
dc.description.degreelevelEspecializaciónspa
dc.publisher.facultyrepourl:https://repository.unimilitar.edu.cospa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
dc.rights.creativecommonsAttribution-NonCommercial-NoDerivatives 4.0 Internationalspa
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dc.relation.references7. Jenkins HJ, Hancock MJ, Maher CG, French SD, Magnussen JS. Understanding patient beliefs regarding the use of imaging in the management of low back pain. Eur J Pain Lond Engl. 2016 Apr;20(4):573–80.spa
dc.relation.references8. Deyo RA, Mirza SK, Turner JA, Martin BI. Overtreating chronic back pain: time to back off? J Am Board Fam Med JABFM. 2009 Feb;22(1):62–spa
dc.subject.proposalSobreindicaciónspa
dc.subject.proposalBanderas rojasspa
dc.subject.proposalResonancia de columnaspa
dc.subject.proposalResonancia espinalspa
dc.publisher.grantorUniversidad Militar Nueva Granadaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f*
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersionspa
dc.identifier.instnameinstname:Universidad Militar Nueva Granadaspa
dc.identifier.reponamereponame:Repositorio Institucional Universidad Militar Nueva Granadaspa
dc.identifier.repourlrepourl:https://repository.unimilitar.edu.cospa
dc.rights.localAcceso abiertospa
dc.coverage.sedeMedicinaspa


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